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I Have A Question About Acid Reflux . I Have

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Posted on Mon, 30 Jan 2023
Question: I have a question about acid reflux. I have been have a bad flare lately. Started around December 18, 2022. Pain in the chest and upper back. Prilosec and Nexium doesn’t seem to be doing much. I had a endoscopy in May of 2018 and was diagnosed with NERD and a 2cm hital hernia. All pathology was normal with the scope as well. I have been drinking a lot more soda and coffee before this flare popped up and really don’t remember this lasting for two weeks before. Just worried something bad has popped up since then. I have bouts over there years of this. Had a scope in 2008 and 2014 as well that was normal but had esophagitis on one. Am I worried for nothing? How long can things like this last
doctor
Answered by Dr. Ramesh Kumar (14 hours later)
Brief Answer:
Please go through detailed answer.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
As you have Hiatal hernia the primary cause of acid peptic disorder is it.
As PPi alone are not helping I would suggest you to add Domstal 10 mg three times a day.
Along with it add a anti anxiety pill like Clonazepam 0.5mg for few days.
It relaxes autonomous nervous system and hence help a lot in acid peptic disorder.
Follow a bland diet for 7 days.
Rice, banana,apple sauce and bread.
Follow up after that.
Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
I’m sorry I always think the worse. But I guess lots of people go decades without having any type of upper GI and least I had one 4 years ago
doctor
Answered by Dr. Ramesh Kumar (2 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hi again,
I am sorry but I can't get what you mean to ask..Can you please elaborate.
Do you mean to say that many people don't get bouts of attacks for 4 years?
Waiting!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ramesh Kumar (2 hours later)
No I’m saying many people worry about cancer etc. But lots never even get a endoscopy and I had one in 2018. And I worry something has popped up since then
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Follow up: Dr. Ramesh Kumar (25 hours later)
You don’t think I need to be worried about anything bad forming since last upper gi in 2018
doctor
Answered by Dr. Ramesh Kumar (31 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hey,
Just relax,
Stomach cancer is very rare and unfortunately is diagnosed in very late stages.
Symptoms include drastic weight loss,severe loss of appetite and pain.
As Endoscopy done earlier was clear I don't think you need to worry about cancer.
See you are a case of acid peptic disorder.
Now problem is that in USA most of the medicines which are helpful are banned.
I had done my masters from USA only and I know that every good medicine is not available though now I am much old(almost at end of life) but you discover a good drug and USA bans it.
Europe and Germany are much better in this regards.

Ok now just calm down,
Take Esomeprazole 40 mg two times a day.
Domstal 10 mg thrice.
Cap VSL#3 two times a day.
Plus a very light easily digestible diet preferably vegetarian.
Just give it a try for 1 week.
If you are feeling anxious add Clonazepam 0.5mg once daily.

Just revert back to me after 7 days.
You would feel much better.
In case these medicines are not available, Inform me and I would provide you with prescription.

However first try at pharmacy.
7 days and you will be 70% fine.

If possible try a fruit based diet for 5 days ..
2 diets 10 am and 8 pm...with 12 hours fasting.
Banana apple guava radish carrot etc can be taken.
Just detoxify your body.
Reagrds!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ramesh Kumar (8 hours later)
What about esophageal cancers and they slow growing you don’t think I should worry myself since I had an endoscopy in 2018
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Follow up: Dr. Ramesh Kumar (23 hours later)
It seems you missed this question
doctor
Answered by Dr. Ramesh Kumar (2 days later)
Brief Answer:
Follow up.

Detailed Answer:
Hi there,
Nops i had not missed that,
Firstly if it would have been a cancer your voice would have become hoarse ,You would have lost kilos of weight with in month and eating food and drinking water would have been a challenge for you.
I have seen the cases abd I know the intensity of their problem.
However just to clear the doubt from your mind you can go for endoscopy any time.
But atleast try the meds I suggested for a week.
If response is zero go for endoscopy.
If you get even 40% relief forget about cancer.
Try to understand a patient with headache can have anything from a small migraine to a tumour but medically we treat them initially based on symptoms and intensity.
If a headache responds to crocin it can't be a 20 gram brain tumour.
Common thing first sir.
Thanks!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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I Have A Question About Acid Reflux . I Have

Brief Answer: Please go through detailed answer. Detailed Answer: Hello and thank you for choosing "Ask a Doctor" service for your query, As you have Hiatal hernia the primary cause of acid peptic disorder is it. As PPi alone are not helping I would suggest you to add Domstal 10 mg three times a day. Along with it add a anti anxiety pill like Clonazepam 0.5mg for few days. It relaxes autonomous nervous system and hence help a lot in acid peptic disorder. Follow a bland diet for 7 days. Rice, banana,apple sauce and bread. Follow up after that. Regards,